Key result
CDSMP linked to improved self-efficacy, self-rated health scores, and self-management behaviors at 6 months.
Why the study?
The study was conducted to evaluate the association of the community-based Chronic Disease Self-Management Programme with health outcomes in people with chronic disease in Singapore.
Does the Chronic Disease Self-Management Programme (CDSMP) improve self-efficacy and self-rated health status in people with chronic disease?
Observational (n=461)
Does the Chronic Disease Self-Management Programme (CDSMP) improve self-efficacy and self-rated health status in people with chronic disease?
A community-based chronic disease self-management program significantly improves patient-reported self-efficacy and health status at 6 months.
May support community CDSMP rollout; leaves open causal efficacy without randomized trials.
OBJECTIVE: The Chronic Disease Self-Management Programme (CDSMP) is a small-group intervention attended by people with chronic diseases and aims to promote self-efficacy and improve health. We adopted this programme to improve population health in the Western region of Singapore. This study aimed to evaluate the association of the CDSMP with various health outcomes for people with chronic disease living in the community. METHODS: Validated instruments were used to measure various health outcomes. Participants completed baseline questionnaires before the programme. Post-intervention questionnaires were administered 6 months after programme. Primary outcome measures include self-efficacy and self-rated health status while secondary outcomes include several other self-management behaviours and healthcare utilisation. RESULTS: 461 participants attended the baseline questionnaire and 265 participants returned for the post-intervention questionnaire from November 2014 to August 2020. Post intervention, participants had statistically significant improvement in self-efficacy, self-rated health score, self-management behaviours and symptoms. The proportion of participants with depression and medication adherence also improved. There were no statistically significant changes in cognitive symptom management and healthcare utilisation. CONCLUSION: CDSMP in the community can improve health outcomes and should be standard care for people with chronic disease. It can be an effective way for sustainable chronic disease management in Singapore.
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Hoong et al. (2022) conducted an observational in Chronic disease (n=461). Chronic Disease Self-Management Programme (CDSMP) vs. Baseline (pre-intervention) was evaluated on Self-efficacy and self-rated health status. Among 265 participants completing 6-month follow-up, the Chronic Disease Self-Management Programme significantly improved self-efficacy, self-rated health scores, and self-management behaviours.
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